Author Question: An adult client who cannot read needs surgery and is competent to make his own decisions. The best ... (Read 28 times)

bobypop · **on:** Jul 23, 2018

An adult client who cannot read needs surgery and is competent to make his own decisions. The best action of the nurse is to:

1. Tell the client in the nurse's own words what the surgical procedure involves.
2. Read the consent form to the client and have the client state understanding.
3. Make sure the physician explains the procedure to the client.
4. Have a family member who can read sign the consent form.

Question 2

The client presents her hand when the nurse makes this statement: I need to start an IV so you can get your antibiotics. This is an example of which of the following?

1. Informed consent
2. Express consent
3. Implied consent
4. Compliance

ktidd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Telling the client in words other than what is on the consent form is not appropriate as some meaning and information may be lost in the transfer.
Rationale 2: If a client cannot read, the consent form must be read to the client and the client must state understanding before the form is signed.
Rationale 3: The physician should explain the procedure to the client, regardless of the client's literacy.
Rationale 4: Since the client is a competent adult, he must be the one giving consent. Illiteracy does not make one incompetent.

Answer to Question 2

Correct Answer: 3
Rationale 1: Informed consent is an agreement by a client to accept a course of treatment or a procedure after being provided complete information, including the benefits and risks of treatment and generally requires the client's signature (written consent)
Rationale 2: Express consent may be either an oral or written agreement. In this case, there were neither spoken words nor a written consent form for the IV initiation.
Rationale 3: Implied consent exists when the individual's nonverbal behavior indicates agreement. In this case, presenting the hand for IV initiation would be a nonverbal behavior indicating agreement with the treatment.
Rationale 4: Compliance occurs when clients agree to follow the recommended treatment, usually by their own actions as in taking prescribed medications or following a prescribed diet.